Brucella urine discharge sexual function

Question #15524

146 days ago

316

Brucella urine discharge sexual function - #15524

Roman

Brucellosis genital discharge urine problems - Roman male The patient's complaints began as follows: discharge, initially resembling semen, and weakening of sexual function, decreased desire, and later urinary symptoms began. then sick brusleyoza was positive gentamicin streptomisin doxycycline I received treatment and tested negative, but the symptoms persist.I am the patient.He was 17 years old at the time.22 years old continues signs Age: 22 Chronic illnesses: The patient's complaints began as follows: vaginal discharge, initially resembling semen, and weakening of sexual function, decreased desire, and later urinary symptoms began. Brucellosis was positive, treatment was with gentamicin, streptomycin, doxycycline, but the symptoms did not go away, it first started at the age of 17, along with brucellosis. Brucellosis was negative, but the symptoms continues. what could be the reason. I will tell you later how to treat it. I was treated with ciprofloxacin and levofloxacin a few months ago, but it did not help

Brucella urinary tract sexual function

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

145 days ago

Hello,
Your symptoms are real, but they are not from brucellosis anymore.
They likely come from prostate, hormonal, pelvic floor, or non-standard infection causes, all treatable once properly identified.
Please do :
Prostate exam ± EPS (prostatic fluid test)
Semen analysis
Hormone tests (testosterone, LH/FSH, prolactin, thyroid)
PCR tests for Mycoplasma & Ureaplasma
Pelvic ultrasound
Please consult a urologist in person .
Please dont medicate yourself anymore👍
I trust this helps
Thank you

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

145 days ago

Hello Roman
By going through your history and evaluation of your health status I must say that it’s better to visit a urologist or medicine doctor in personal with all your report as it seems a long treatment and still not getting benefitted…
It basically require more evaluation and more test to confirm the following diagnosis .
Because your symptoms are focusing on fungal infection too  so it’s require multiple drugs with proper guidance and evaluation which is not possible without personal .
You will get fine soon
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

144 days ago

Considering the history of brucellosis and treatment with antibiotics like gentamicin, streptomycin, and doxycycline, it’s possible that while the initial infection was controlled, some symptoms may persist due to other underlying issues or damage previously caused by the infection. Brucellosis could potentially lead to complications such as chronic prostatitis or epididymitis, which might explain the persistent genital discharge and sexual dysfunction, even after the brucellosis itself is under control. Additionally, chronic inflammation or persistent bacteria in areas like the prostate can sometimes be resistant to certain antibiotics, which might explain the lack of response to ciprofloxacin and levofloxacin. It’s crucial to re-evaluate the situation with a few steps: First, consult with a urologist or an infectious disease specialist who can assess whether there’s an ongoing, low-level infection or inflammation. They might suggest further diagnostic tests, such as a prostate exam, ultrasound, or even a culture test to search for lingering pathogens or identify possible other infections like chlamydia or gonorrhea, which can also cause similar symptoms. Hormonal evaluation may also be warranted due to sexual dysfunction issues, as brucellosis might affect the endocrine system. Meanwhile, ensure maintaining optimal hygiene, hydration, and avoiding irritants that might exacerbate urinary or genital symptoms. Avoid self-medication with antibiotics, as this can lead to resistance and complicate treatment further. Above all, direct ongoing management with a specialist is key to addressing these symptoms comprehensively.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

145 days ago

Hello dear
See as per clinical history it seems infection.
However it can be additional fungal infection also since it has the probability to invade vagina and other internal organs
Also there is history of medication too so I think probably the patient has become resistant too
So I suggest you to please get following tests done for confirmation
Bacterial culture
Fungal culture
Antibiotic sensibility
PCR must
Vaginal swab
Rose bengal test
Coombs test
CBC
Pas sensitivity
I suggest you to please share the result with general physician ( medicine) for better clarity
Please don’t take any medication without consulting the concerned physician since it is chronic and is not getting easily erad ated
Hopefully you recover soon
Regards

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

145 days ago

Your symptoms may have causes other than brucellosis and need specialist assessment.
Persistent symptoms after repeated antibiotics require urine tests(urine routine and culture), and a detailed urological evaluation(usg whole abdomen).
Please do not take any more medicine without a prescription from a qualified doctor.
Consult a urologist for proper diagnosis and treatment.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

144 days ago

Hello Roman, I understand how frustrating it might be for you. According to what tou explained, it looks like you have something else other than Brucellosis. You need further evaluation.
1. Kindly get these tests done - Urine routine+culture, PCR for STIs, CBC, CRP, HbA1C, Total Testosterone, Free Testosterone, LH, FSH, Prolactin, Ultrasound KUB+Prostate (post void residual). Review with the reports.
2. This is not brucellosis returning. These are common post-infection pelvic issues, especially in males who had severe infection at a young age. Most patients improve significantly with proper evaluation and treatment.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

144 days ago

Investigation
Urine culture
PCR for Mycoplasma + Ureaplasma
Semen culture
Prostate secretion test (EPS – if available)
Hormonal Profile
Total Testosterone
LH, FSH
Prolactin
TSH (thyroid)

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